1. Case study: NATHAN To Professor: Lisa McCaie By: Lan Chi Nguyen Course: ECEP 233-063 Due date: April 02, 2014

2. The Needs of Children Nathan was in cardiac arrest and needed surgery on his heart when he was born. 3. Nathan is ten months old now. He is behind in most developmental milestone. 4. Nathan is generally happy and smiles often 5. Nathans families needs His parents would like to gain a better understanding of services and support available to him in Durham as they are planning move into their house in Ajax. 6. Nathans Mother need support with employment Nathans mother would also like to find a new job which would be closer to their new home. She is a qualified ECE who is planning to work full or part time after her maternity leave is completed (with in 2 month period of time) 7. What is cardiac arrest? Cardiac arrest is a type of heart disease. It is sudden cessation of all heart activity. It may cause shortness of breath, fatigue, airway and breathing problems. Cardiac arrest, also known as cardiopulmonary arrest or circulatory arrest, is the cessation of normal circulation of the blood due to failure of the heart to contract effectively. ( http://en.wikipedia.org/wiki/Cardiac_arrest) (https://www.heart.org/HEARTORG/Conditions/More/CardiacAr rest/About-Cardiac-Arrest_UCM_307905_Article.jsp) 8. Cardiac Surgery Cardiac surgery is surgery on the heart or great vessels performed by cardiac surgeons. It is usually done to: Treat complications of ischemic heart disease (for example, coronary artery bypass grafting) Correct congenital heart disease Treat valvular heart disease from various causes including endocarditis, rheumatic heart disease and atherosclerosis It also includes heart transplantation. (http://en.wikipedia.org/wiki/Cardiac_surgery) 9. Causes of cardiac arrest in children and infant include: Airway and breathing problems. Traumatic injury or an accident (e.g., motor-vehicle collision, drowning, electrocution or poisoning) A hard blow to the chest. Congenital heart disease. Sudden infant death syndrome (SIDS) (http://www.sharecare.com/health/heart- disease/causes-cardiac-arrest-children-infants) 10. Condition are cause newborn with cardiac arrest There is many cause are associated with increase risk of the children of cardiac arrest including: Prone sleeping position. The winter months Infant mothers who is smoking Infant who have survived severe apparent life threatening events Infants of mothers who are drug addicts Low birth-weight infant (http://circ.ahajournals.org/content/98/21/2334.long) 11. Do things to help preventing Promote healthy eating. Smoking Cessation. 12. Preventing continue Keep track with medical condition Regularly exercise. 13. Prevent for children We should be aware of the need to place infants supine for sleeping. Infants should not sleep on soft surfaces (such as lambs-wool, fluffy comforters, or other materials that might trap exhaled air near the infant face. 14. What is cause developmental delay with Nathan? Nathan case is one of the most common cause of developmental delay because of the period of hospitalization immediately or soon after birth for the cardiac arrest surgery.(Reading package, Fact Sheet-page 2) The delays were seen in all areas of development, cognition, language and motor. 15. Nathans Needs Want to 16. Nathan with special needs Nathan with developmental delay after cardiac surgery because the time he was spend in the hospital environment. He did not have chance to interact or active play as another. According to the Ages and Stages said Throughout the first year, infants grow at a tremendously fast rate. In fact, by the end of the first year they will have tripled in birth This is show that Nathan could miss the rate of growth. 17. Meeting the needs of Nathans and his family want for him in the class room and outside of the class room. Physical adaptive learning environments Teaching strategies Using special equipments Strategies for inclusions a child and families 18. Physical Environment Adaptive learning environment and modification to stimulate Nathan and easy for him to move around on the comfortable, safe floor and access to the material as easy as he could. Class room setting with the child eye level 19. Facilitate a positive and safe play space The high quality childcare environment setting will be benefit for all the children and it also really importance for children with special needs. It give them opportunities for healthy and safe development. (Reading package, page 3) 20. Materials, toys and equipment, labeling system : should be bright color and big letters so children can easily recognize and get use to the visual. For ten months old baby. Toys and materials can be adaptively as: stabilize, enlarge, enhance and simplify 21. Adaptive devices for greater learning help Nathan to achieve to his developmental level. Safety and safe risk taking through scoping activities. 22. Collaboration Collaborative planning for a lot people in the community involve to provide their needs and build their positive self-esteem. Including team meeting to support Nathans needs and follow up. 23. Support Staff support and training: understand childrens developmental, provide flexibilities in routines, schedules and provide stimulation and novelty activities. Staff and parents support the children learning to prepare their future. Talking to the family about your concerns. (Reading package and class note) 24. Support inclusion Beside Support children and their families by enrich physical environment, teaching strategies also help support include children with special need. This would be promote Nathan social skill in the daycare invironment. 25. The strategies to teaching new skills Identifying skill to teach: Developing learning goals and teaching a child new skill. We should start from small and short-term task for skill improve. This could help to success in long-term skills. This would be help best for Nathans developmental as in physical , social, emotional and intellectual 26. Indentifying Skill to teach Work from where you are, not from where you want to be Choose a single area to focus on Break the skill into smaller steps Decide how to teach Build a childs confidence Motivate and reinforce Set short deadlines Keep track Generalize the skill Include others 27. Visual Communication This strategies is using to help the children who are not yet initiating communication to express their needs or interested. This could apply for Nathan needs for his language, social and emotional skill 28. Task Analysis The breaking down of complex skills into smaller step to allow the children to success of learn new skills with their developmental level and enhance for their bigger task. ( Reading package, Supported inclusion-page 2) 29. Prompting and Fading Prompting and fading is used in teaching a new skill to support Nathans physical, language, and intellectual skills. For example help Nathan holding spoon or scrawl and stand independently, also with verbal model and gesture used (class note, week 7) In addition we can use hand over hand technique to support Nathans physical prompts, because modeling and demonstrate is showing the child how to do the skill or action while imitating child (class note, week-7) 30. Reinforcement Children need reinforcements to learn new skills, build self esteem. Reinforcements can help Nathan stay on task. Reinforcements mean motivate or encouraging the child. Any environmental event that maintain and strengthens behaviours or action such as praise, special activities, food, music or toy given after the desired behaviour. (Class note, week 7) 31. Resources support Nathan and his family in Durham Region Resources and consultant Family doctor Pediatrician Physiotherapist Occupational Therapist Infant Development program consultants Social Worker Psychologist Public Health Nurses Early Childhood Educator 32. Resources and consultants They gather information in relation to Nathan with developmental delay needs and promote the inclusion for Nathan in the child care community. They able to assist families and child care staff in identifying strengths, needs and goals for the child with special need like Nathan. They can access and coordinate resources to support Nathan, his families and child care staff; they also interact with related professional in the community. They will develop appropriate strategies and service plans to support inclusion of Nathan. ( class note, Week 9) 33. Family Doctor This is the professional close to Nathan and families to diagnosis his developmental level. Can advise parents about accessing and referral for diagnosis, help the family find support 34. Pediatrician A pediatrician specializes in child development and medical care children.(class note, week 9) Nathan had surgery because of cardiac arrest, therefore he need to have pediatrician to help him and his family follow up his medication condition 35. Physiotherapist Works with children and their families to develop the childs maximum level of independence by addressing physical aspects (movement, muscle strength, coordination, fitness and respiration) ( class note, week 9) This service could Nathans physical strength in gross motor skill after he did not move much in the hospital. 36. Occupational Therapist Works with children and their families to develop the childs maximum level of independence in all areas of daily living. such as, dressing, bathing, feeding, play and school activities. (class wk-9) 37. Infant Development Program Consultants Work with families of children under the age of three with , or at risk of developmental delay Can provide home visits, assessments, program planning, and liaison with other families (class wk-9). 38. Social Worker Inform and refer parents to service provide and link families with community-base support and service. They also able to help Nathans mother with employment or financial help for family.(class note, week 9) 39. Psychiatrists This professional may provide diagnostic assessment and reassessment of children, monitor prescriptions and treatments (class, wk-9) They also family counseling can help family to co- op with the situation and help Nathan get to developmental level . 40. Public Health Nurses Nathan is 10 months old, He is behind in most developmental therefore Public health Nurses could help the parent gain more information on his healthy growth and development, immunization for him. They also provide information in resources, supports and service in their community. 41. Early Childhood Educator(ECE) ECE will be with Nathan most of the day time in the daycare. Therefore they able to observe, participate in creating and implementing IPPs. They make adaptations in the environment, support families, links with other professionals... and much more to provide the needs for Nathan learning and get to developmental level of his age. 42. Nathans Parent The family need to sign form 14 early to get access to the service as soon as possible for Nathan to get help from all the professionals. This will allow the family to gain access to different services which can help them with support as they go through this difficult time including financial. Nathans parent is the best resource for him. They are the primary care for Nathan and know best about Nathan abilities, strengths, and needs . 43. Meeting the needs of Nathan and his family http://www.wordle.net/show/wrdl/7710367/Inclusion- _meeting_Nathan_needs by Lan Chi Nguyen 44. Durham Area Map Nathans family planning to move into their new house in Ajax. http://www.durham.ca/default.asp?nr=/corpoverview/mapsregion.htm 45. Grandview Kids Grandview Childrens Centre is an independently operated not-for-profit organization. They are the only children's treatment centre in Durham Region providing specialized programs, outpatient clinical treatment, and support to thousands of children and youth with special needs and their families. (http://grandviewkids.ca/welcome/about- us) Oshawa(Main Site) 600 Townline Rd. S. Oshawa, ON L1H 7K6 905-728-1673 1-800-304-6180 Fax: 905-728-2961 Port Perry (Lakeridge Health Port Perry Hospital) 451 Paxton St. Port Perry, ON L9L 1L9 905-985-7321 x 5568 Whitby (Whitby Mall) 1615 Dundas St. E. Suite #203 Whitby, ON L1N 2L1 905-440-4573 Fax: 905-440-4601 Bowmanville (Knox Christian School) 410 North Scugog Court Bowmanville, ON 905-728-1673 1-800-304-6180 46. Continue.... assess, diagnose, prescribe and provide clinical treatment, specialized programs and therapies and specialized equipment for children and youth with communication, physical or developmental special needs; provide access to specialists, consultation and support for families; build capacity in the community through information, knowledge exchange and consultation to professional and other organizations; participate in research activity and teaching in the field of childrens rehabilitation. (http://grandviewkids.ca/welcome/about-us) Ajax (Grandview West) 570 Westney Rd. S. Ajax, ON L1S 6V5 905-619-6551 Fax: 905-619-6552 47. Regional Municipality of Durham Health Durham region: Provide information for parent families all kind of services relate to children with special needs and families needs. Provide resource for educator to help the parent and a child to get access to the service for children with special need. (http://www.durham.ca/default.asp?nr=/corporate/contactus.htm) Contact: Health Department 605 Rossland Rd. E Whitby, ON L1N 6A3 Phone: 905-668-7711 Or 1800-841-2729 Fax 905-666-6214 Email: health@durham.ca 48. Regional Municipality of Durham Child Care and Children's Programs: Provide the map for all childcare centre locate in Durham region. Provide information for childcare and early learning professional. Provide information for parent. Contact for social services: Including Childcare and childrens Program. 605 Rossland Rd. E Whitby, ON L1N 6A3 Phone: 905-668-7711 Or 1800-372-1102 49. This organization is support for individual disabilities and protect their right. Provide many services for young children from birth to eighteen years old. Help the families access support services from government. 39 Wellington E, Oshawa, ON L1H 3Y1 (905) 576-3011 Fax: 905-576-9754 Email: infor@communitylivingoc.ca Website: www.communitylivingoc.ca 50. Community Living - Ajax, Pickering and Whitby Community Living in Ajax, Pickering and Whitby have the same service for individual children and families with special needs as Oshawa. Provide the services available for all families who are living in Ajax, Pickering and Whitby to easy to access to their needs. 36 Emperor Street, Ajax, ON. L1S 1M7 Phone: (905) 427-3300 Fax: (905) 427-3310 Email Address: info@apwcommunityliving.org http://www.cl-apw.org/index.html 51. Lake Ridge Community Support Services (LRCSS) provides high quality treatment, education and evaluation research services which facilitate the participation and growth of individuals with a diagnosis of Intellectual Disability or Autism Spectrum Disorder within their community. Staff provide support to individuals, community agencies, families, educators and other professionals. (http://www.lrcss.com/AboutUS.html) Contact information: 900 Hopkins St, Whitby, ON (905) 666-9688 Website: www.lrcss.com 52. 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Age and stages . Connect ability inclusion workshop: www.connectability.ca/category/kids